Low back pain in 17 year olds has substantial impact and represents an important public health disorder: a cross-sectional study

Peter B O'Sullivan, Darren J Beales, Anne J Smith, Leon M Straker, Peter B O'Sullivan, Darren J Beales, Anne J Smith, Leon M Straker

Abstract

Background: Prevalence of low back pain (LBP) rises rapidly during adolescence, reaching adult levels by the age of 18. It has been suggested that adolescent LBP is benign with minimal impact, despite limited evidence.

Methods: The aim of this study was to investigate the impact of LBP and the influence of chronicity, gender and presence of other spinal pain comorbidities at age 17. Subjects (n=1283) were categorised according to experiencing current and chronic LBP, gender and presence of other areas of spinal pain. LBP impact was ascertained via questions regarding seeking professional assistance, using medication, missing school/work, limited normal or recreational physical activity and health related quality of life (HRQOL).

Results: 12.3% of participants reported current but not chronic LBP, while 19.9% reported current chronic LBP. LBP was more commonly reported by females than males. Other spinal pain comorbidities were common in the LBP groups. Impact was greater in subjects with chronic LBP, in females and in those with other spinal pain comorbidities.

Conclusion: LBP, and particularly chronic LBP, has a significant negative impact at 17 years. It is commonly associated with care seeking, medication use, school absenteeism, and reduced HRQOL. These findings support that adolescent LBP is an important public health issue that requires attention.

References

    1. Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88(Suppl 2):21–24.
    1. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15(Suppl 2):S169–S191.
    1. Waddell G, Burton AK. Concepts of rehabilitation for the management of low back pain. Best Pract Res Clin Rheumatol. 2005;19(4):655–670. doi: 10.1016/j.berh.2005.03.008.
    1. Leboeuf-Yde C, Kyvik KO. At what age does low back pain become a common problem? A study of 29,424 individuals aged 12-41 years. Spine. 1998;23(2):228–234. doi: 10.1097/00007632-199801150-00015.
    1. Sato T, Ito T, Hirano T, Morita O, Kikuchi R, Endo N, Tanabe N. Low back pain in childhood and adolescence: a cross-sectional study in Niigata City. Eur Spine J. 2008;17(11):1441–1447. doi: 10.1007/s00586-008-0788-5.
    1. Jones GT, Macfarlane GJ. Epidemiology of low back pain in children and adolescents. Arch Dis Child. 2005;90(3):312–316. doi: 10.1136/adc.2004.056812.
    1. Perry MC, Straker LM, O'Sullivan PB, Smith AJ, Hands B. Fitness, motor competence and body composition are weakly associated with adolescent back pain. J Orthop Sport Phys. 2009;39(6):439–449.
    1. Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine. 2006;31(4):468–472. doi: 10.1097/01.brs.0000199958.04073.d9.
    1. Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine. 2007;32(23):2630–2637. doi: 10.1097/BRS.0b013e318158d70b.
    1. Harreby M, Nygaard B, Jessen T, Larsen E, Storr-Paulsen A, Lindahl A, Fisker I, Laegaard E. Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J. 1999;8(6):444–450. doi: 10.1007/s005860050203.
    1. Watson KD, Papageorgiou AC, Jones GT, Taylor S, Symmons DP, Silman AJ, Macfarlane GJ. Low back pain in schoolchildren: occurrence and characteristics. Pain. 2002;97(1-2):87–92. doi: 10.1016/S0304-3959(02)00008-8.
    1. Bejia I, Abid N, Ben Salem K, Letaief M, Younes M, Touzi M, Bergaoui N. Low back pain in a cohort of 622 Tunisian schoolchildren and adolescents: an epidemiological study. Eur Spine J. 2005;14(4):331–336. doi: 10.1007/s00586-004-0785-2.
    1. Salminen JJ, Pentti J, Terho P. Low back pain and disability in 14-year-old schoolchildren. Acta Paediatr. 1992;81(12):1035–1039. doi: 10.1111/j.1651-2227.1992.tb12170.x.
    1. Balague F, Dudler J, Nordin M. Low-back pain in children. Lancet. 2003;361(9367):1403–1404. doi: 10.1016/S0140-6736(03)13148-0.
    1. Pellise F, Balague F, Rajmil L, Cedraschi C, Aguirre M, Fontecha CG, Pasarin M, Ferrer M. Prevalence of low back pain and its effect on health-related quality of life in adolescents. Arch Pediatr Adolesc Med. 2009;163(1):65–71. doi: 10.1001/archpediatrics.2008.512.
    1. Kendall GE. Children in Families in Communities: A Modified Conceptual Framework and An Analytical Strategy for Identifying Patterns of Factors Associated with Developmental Health Problems in Childhood. Perth: University of Western Australia; 2003.
    1. Robinson M, Oddy WH, McLean NJ, Jacoby P, Pennell CE, de Klerk NH, Zubrick SR, Stanley FJ, Newnham JP. Low-moderate prenatal alcohol exposure and risk to child behavioural development: a prospective cohort study. BJOG. 2010;117(9):1139–1150. doi: 10.1111/j.1471-0528.2010.02596.x.
    1. Ware JE. SF-36 Health Surve. Boston The Health Institute: Manual and Interpretation Guide; 2005.
    1. Paananen M, Taimela S, Auvinen J, Tammelin T, Zitting P, Karppinen J. Impact of self-reported musculoskeletal pain on health-related quality of life among young adults. Pain Medicine. 2011;12(1):9–17. doi: 10.1111/j.1526-4637.2010.01029.x.
    1. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233–237. doi: 10.1016/0003-6870(87)90010-X.
    1. Bjorksten MG, Boquist B, Talback M, Edling C. The validity of reported musculoskeletal problems. A study of questionnaire answers in relation to diagnosed disorders and perception of pain. Appl Ergon. 1999;30(4):325–330. doi: 10.1016/S0003-6870(98)00033-7.
    1. Dionne CE, Dunn KM, Croft PR, Nachemson AL, Buchbinder R, Walker BF, Wyatt M, Cassidy JD, Rossignol M, Leboeuf-Yde C. et al.A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine. 2008;33(1):95–103. doi: 10.1097/BRS.0b013e31815e7f94.
    1. Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS. Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine. 2001;26(17):1879–1883. doi: 10.1097/00007632-200109010-00012.
    1. Huguet A, Miro J. The severity of chronic pediatric pain: an epidemiological study. J Pain. 2008;9(3):226–236. doi: 10.1016/j.jpain.2007.10.015.
    1. Mitchell T, O'Sullivan PB, Burnett AF, Straker L, Rudd C. Low back pain characteristics from undergraduate student to working nurse in Australia: A cross-sectional survey. Int J Nurs Stud. 2008;45(11):1636–1644. doi: 10.1016/j.ijnurstu.2008.03.001.
    1. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473–483. doi: 10.1097/00005650-199206000-00002.
    1. Hawthorne G, Osborne RH, Taylor A, Sansoni J. The SF36 Version 2: critical analyses of population weights, scoring algorithms and population norms. Qual Life Res. 2007;16(4):661–673. doi: 10.1007/s11136-006-9154-4.
    1. Ware JE Jr. SF-36 health survey update. Spine. 2000;25(24):3130–3139. doi: 10.1097/00007632-200012150-00008.
    1. Tucker G, Adams R, Wilson D. New Australian population scoring coefficients for the old version of the SF-36 and SF-12 health status questionnaires. Qual Life Res. 2010;19(7):1069–1076. doi: 10.1007/s11136-010-9658-9.
    1. Hays RD, Woolley JM. The concept of clinically meaningful difference in health-related quality-of-life research. How meaningful is it? PharmacoEconomics. 2000;18(5):419–423. doi: 10.2165/00019053-200018050-00001.
    1. Palermo TM. Impact of recurrent and chronic pain on child and family daily functioning: a critical review of the literature. J Dev Behav Pediatr. 2000;21(1):58–69. doi: 10.1097/00004703-200002000-00011.
    1. Manchikanti L, Singh V, Datta S, Cohen SP, Hirsch JA. Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician. 2009;12(4):E35–E70.
    1. Greenspan JD, Craft RM, LeResche L, Arendt-Nielsen L, Berkley KJ, Fillingim RB, Gold MS, Holdcroft A, Lautenbacher S, Mayer EA. et al.Studying sex and gender differences in pain and analgesia: a consensus report. Pain. 2007;132(Suppl 1):S26–S45.
    1. Roth-Isigkeit A, Thyen U, Stoven H, Schwarzenberger J, Schmucker P. Pain among children and adolescents: restrictions in daily living and triggering factors. Pediatrics. 2005;115(2):e152–e162. doi: 10.1542/peds.2004-0682.
    1. Skaggs DL, Early SD, D'Ambra P, Tolo VT, Kay RM. Back pain and backpacks in school children. J Pediatr Orthop. 2006;26(3):358–363. doi: 10.1097/01.bpo.0000217723.14631.6e.
    1. Kamaleri Y, Natvig B, Ihlebaek CM, Benth JS, Bruusgaard D. Number of pain sites is associated with demographic, lifestyle, and health-related factors in the general population. Eur J Pain. 2008;12(6):742–748. doi: 10.1016/j.ejpain.2007.11.005.
    1. Kamaleri Y, Natvig B, Ihlebaek CM, Bruusgaard D. Localized or widespread musculoskeletal pain: does it matter? Pain. 2008;138(1):41–46. doi: 10.1016/j.pain.2007.11.002.
    1. Mattila VM, Sahi T, Jormanainen V, Pihlajamaki H. Low back pain and its risk indicators: a survey of 7,040 Finnish male conscripts. Eur Spine J. 2008;17(1):64–69. doi: 10.1007/s00586-007-0493-9.
    1. Walker BF, Muller R, Grant WD. Low back pain in Australian adults. health provider utilization and care seeking. J Manipulative Physiol Ther. 2004;27(5):327–335. doi: 10.1016/j.jmpt.2004.04.006.
    1. Hagen KB, Holte HH, Tambs K, Bjerkedal T. Socioeconomic factors and disability retirement from back pain: a 1983-1993 population-based prospective study in Norway. Spine. 2000;25(19):2480–2487. doi: 10.1097/00007632-200010010-00010.
    1. Moffett JA, Underwood MR, Gardiner ED. Socioeconomic status predicts functional disability in patients participating in a back pain trial. Disabil Rehabil. 2009;31(10):783–790. doi: 10.1080/09638280802309327.
    1. Stanaway FF, Blyth FM, Cumming RG, Naganathan V, Handelsman DJ, Waite LM, Sambrook PN, Creasey HM, Seibel MJ, Le Couteur DG. Back pain in older male Italian-born immigrants in Australia: the importance of socioeconomic factors. Eur Spine J. 2011;15(1):70–76.
    1. Western Australian Auditor General. Every day counts: managing student attendance in Western Australian public schools. 2009. Edited by 16/06/2010) hwawgarpa, vol. [ ]. (Accessed 16/06/2010)
    1. Kearney CA. School absenteeism and school refusal behavior in youth: a contemporary review. Clin Psychol Rev. 2008;28(3):451–471. doi: 10.1016/j.cpr.2007.07.012.
    1. Murphy S, Buckle P, Stubbs D. A cross-sectional study of self-reported back and neck pain among English schoolchildren and associated physical and psychological risk factors. Appl Ergon. 2007;38(6):797–804. doi: 10.1016/j.apergo.2006.09.003.
    1. O'Sullivan PB. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242–255. doi: 10.1016/j.math.2005.07.001.
    1. Wedderkopp N, Leboeuf-Yde C. Preventing back pain. BMJ. 2008;336(7641):398. doi: 10.1136/bmj.39464.656007.80.

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